Attachment 4 - DD254.pdf

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16th AF Custodial Services Amendment #2 Federal contract opportunity
Solicitation number
FA301620R0064
Issued by
Department of the Air Force Air Education and Training Command

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DD Form 254 Supplement Attachment 3

Supplement to Defense Department (DD) Form 254

“Contract Security Classification Specification”

ITEM 13 SECURITY GUIDANCE:

1. The following items apply to this contract.

GENERAL GUIDANCE:

The Contractor must:

· Maintain accountability for all classified material released to his or her custody.

· Not reproduce classified materials without the written permission of the releasing agency. If permission is granted, each copy will be controlled in the same manner as the original.

· Not destroy any classified without advance approval of the releasing agency.

· Restrict access to only those individuals who possess the required security clearance and who are actually providing services under the contract. Further dissemination to other contractors, subcontractors, other government agencies, and private individuals or an organization is prohibited unless authorized in writing by the releasing agency.

· Not release classified material to foreign nationals or immigrant aliens whether or not they are consultants, US contractors, or employees of the contractor, and regardless of the level of their security clearance, except with advance written permission from the originator.

· Ensure that each employee having access to the classified material is fully aware of the special security requirements for this material and maintains records in a manner that permits the contractor to furnish on demand the name of individuals who have access to the material in their custody.

· Annually furnish the Contracting Office Representative (COR) classified material released to or generated by the contractor. The listing must be sent to the COR no later than 1 February.

· Upon completion or termination of the classified contract, or sooner, when the purpose of the release has been served, the contractor must return to the COR all classified material (furnished or generated), unless retention or destruction is authorized in writing by the originator of the classified, the Senior Intelligence Officer (SIO), or the releasing command.

· The use, operation, or connection of a telephone answering machine within the CONTROLLED SPACE boundary of a contractor's facility performing work on a 16 AF contract must be pre-approved by 16 AF/A2S in writing and may contain restrictions contractually binding on the contract.

· The contractor must obtain written approval from the 16 AF/A6 or the National Security Agency (NSA) to use facsimile equipment to transmit information related to any 16 AF contract. This applies whether government or government derived, classified or unclassified, inside or outside the contractor's CONTROLLED SPACE. The written approval may contain restrictions contractually binding on the contractor.

· For computer security direction, the Contractor shall comply with Joint DoDIIS/Cryptologic SCI Information Systems Security Standards for SCI AIS and AFMAN 17-1301 for collateral AIS. This guidance will be used in its entirety or waivers must be obtained in writing from 16 AF/A6S.

· If work under the terms of this contract requires access to NSA systems, the contractor may be required to take a Counter Intelligence (CI) polygraph test.

ITEM 10:

Ref item 10e. SCI work will be done in an appropriately accredited SCI facility (CONTROLLED SPACE).

Ref. 10.e.(1). Contractor will require access to ICD 703, Protection of Classified National Intelligence, Including Sensitive Compartmented Information and ICD 710, Classification Management and Control Markings System.

Ref. 10.e.(2). Contractor will require access to AFI 14-303, Release Of Intelligence To U.S. Contractors.

Ref item 10.g The COR has determined that the contractor will not have access to NATO classified and restricted information in order to accomplish daily duties. Prior approval of the contracting activity is required for subcontracting. Access to classified NATO information requires a final U. S. government clearance at the appropriate level.

Ref item 10.j: See DoDM 5200.01, Volume 4, DoD Information Security Program: Controlled Unclassified Information (CUI), Enclosures 3 & 4 and DoD 5400.7-R, DoD Freedom of Information Act (FOIA) Program /Air Force Manual 17-1301, Computer Security (COMPUSEC), or the current versions for requirements.

ITEM 11:

Ref item 11a. Contract performance is restricted to (SEE ITEM 8) and travel as direct by the government activity. Using activity will provide security classification guidance for performance of this contract.

Ref item 11e. Contract is for custodial services.

Ref item 11j. (On base) Contractor employees will comply with AFI 10-701, Operations Security, available on the Air Force’s e-publishing web site at URL: http://www.e-publishing.af.mil/. They will also participate in the assigned unit’s OPSEC program, complete the Security Administration (ZZ133078) computer based training (CBT) module located on the Advanced Distributed Learning Service (ADLS) Website upon assignment and annually thereafter.

Ref item 11m: Contractors are authorized to work past routine working hours as they are described in the contract. COR concurrence is required prior to allowing contractors to work past routine working hours.

ITEM 12:

Contractor is to submit requests through the Contracting Officer for OPSEC Program Manager review and public release authorization. The Contracting Officer will provide contractor with written approval/disapproval. Information requiring AF or DoD–level review will be reviewed by the unit’s OPSEC Program Manager or Coordinator who will in-turn forward to the entry-level public affairs office through the AFIMSC Public Affairs Office to the Secretary of the Air Force, Office of Public Affairs, Security and Review Division (SAF/PAX), 1690 Air Force Pentagon, Washington DC 20330-1690. MAJCOM/DRUs will send information requiring AF or DoD-level review directly to SAF/PAX.

ITEM 14:

1. This contract requires access to Sensitive Compartmented Information (SCI). Per ICD’s 501, 502, 503, ICD 705, ICS 500-27, NIST SP 800-53, NIST 800-37, NIST SP 800-53A and DODI 8582.01 DoDM 5105.21, Volumes 1, 2, 3 and AFMAN 14-403, NISPOM Supplement dated 28 Feb 2006 provides the necessary guidance for physical, personnel, information and information systems security measures and is part of the SCI security specifications for the contract.

2. Name, organization, telephone number and address of the Contract Officer Representative (COR) for the SCI portion of this contract is:

(Pri): Sanya Weaver, 502 CES/CEOES, (210) 671-6968

(Alt): Kathe Masch, 502 CES/CEOES, (210) 671-2348

(Alt): Kirk Mattioda, 502 CES/CEOES, (210) 671-7219

(Alt): Darnisha Gardere, 502 CES/CEOES, (210) 671-5915

1555 Gott Street, JBSA Lackland TX 78236

3. All DD Form 254s prepared for subcontracts involving access to SCI under this contract must be forwarded to the COR for approval and then to 16 AF/A2S, Bldg 2000, room 123C, 102 Hall Blvd, San Antonio TX 78238 for review and concurrence prior to award of the subcontract. Inquiries pertaining to classification guidance on SCI will be directed to the COR listed in para. 2 above. SCI security management issues shall be directed to 16 AF/A2S, Bldg 2000, room 123C, 102 Hall Blvd, San Antonio TX 78238, COMM (210) 977-4548, DSN 969-4548.

4. SCI access is subject to U.S. Government review and approval as outlined in the aforementioned SCI security guidance. Upon completion or cancellation of the contract, the SSO/CSSO will debrief all personnel not required for contract closeout and those positions will be disestablished.

5. Names of contractor personnel requiring access to SCI and justification for SCI access will be submitted for coordination and action to 16 AF/A2S, Bldg 2000, room 123C, 102 Hall Blvd, San Antonio TX 78238 after the COR approval/concurrence. Upon receipt of written approval from the COR, the Facility Security Officer (FSO) and/or Contractor Special Security Officer (CSSO) may submit the necessary forms to the Defense Counterintelligence Security Agency (DCSA) for a Single Scope Background Investigation (SSBI) for those personnel nominated for SCI in accordance with the National Industrial Security Program Operating Manual (NISPOM).

6. The SSO/CSSO can grant access to only those who possess the necessary security clearance and who are actually providing services under the contract. Further dissemination to other contractors, sub-contractors, other government agencies, private individuals or organizations is prohibited unless authorized in writing by the releasing agency.

7. SCI materials furnished in support of this contract remains the property of the DoD department or command that released it. Upon completion or cancellation of the contract, all SCI materials furnished will be returned to the direct custody of the originator of the materials.

8. Classified foreign intelligence materials must not be released to foreign nationals or immigrant aliens whether or not they are also consultants, U.S. contractors, or employees of the contractor regardless of the level of their security clearance, except with advance written permission from the originator.

9. Contractor personnel must maintain accountability for all intelligence (to include foreign intelligence) materials released to their custody.

10. Contractor personnel must not reproduce classified foreign intelligence without advance approval of the releasing agency. If permission is granted, each copy will be controlled in the same manner as the original. The CSSO must not destroy any classified foreign intelligence without advance approval of the releasing agency.

11. A SCIF meeting the physical security requirements in DCID 6/9 or ICD 705 is required for this contracting effort. All SCI used for this contract shall be stored, handled, and maintained in an accredited SCIF, be it the local contractor SCIF or similarly SCI accredited facilities used by the contractor. Address of the SCIF for contract execution:

11.1. (Office Symbol and Company Name, street address Bldg#, City, State and Zip Code. N/A

11.2. SCIF ID Number. N/A

11.3. Name and Telephone number of FSO/CSSO. N/A

12. Visits; The contractor will submit the written request for SCI visit certifications through the COR for approval of the visit. The certification must arrive at their servicing (16 AF/A2S) at least three working days prior to the visit.

13. Information assurance and electronic processing; information security (computer) and network connectivity require accreditation of the equipment connectivity.

14. Reference Block 15: This contract requires access to SCI. If the contractor has established a SCIF, DIA and its designees are responsible for all inspections of the contractor SCIF and SCI security management program for ensuring compliance with all SCI security regulations and policies. If a new SCIF must be established in accordance with this contracting effort, permission to build/accredit a SCIF must be requested thru the COR and forwarded to the SSO. Special Security Officers reserve the right to conduct program reviews of AF SCI materials and SCI program management to ensure the protection of AF equities.

15. Contract estimated completion date: 30 Sep 2025

(Note: Section “F” of the contract usually provides the Period of Performance. Option years are not to be included as an option is not valid until exercised by the government. Minor modifications are authorized.)

RELEASE OF SENSITIVE COMPARTMENTED INFORMATION

(SCI) INTELLIGENCE INFORMATION

TO

DoD Contractors DD FORM 254 ATTACHMENT

ATTACHMENT TO DD FORM 254 FOR CONTRACT NUMBER: TBD

NUMBER OF SCI BILLETS AUTHORIZED: 14

CONTRACT DATE: 30 Sep 2025

1. Requirements for access to SCI:

a. All SCI will be handled in accordance with special security requirements which will be furnished by the designated responsible Special Security Office (SSO).

b. SCI will not be released to Contractor employees without specific release approval of the originator of the material as outlined in governing directives; based on prior approval and certification of “need-to-know” by the designated Contractor.

c. Names of Contractor personnel requiring access to SCI will be submitted to the COR for approval. (The COR is identified in the attachments, item 11.) Upon receipt of written approval from the COR, the company facility security officer will submit request(s) for Single Scope Background Investigations (SSBI) in accordance with the NISPOM, to the Defense Counterintelligence Security Agency (DCSA).

d. Inquiries pertaining to classification guidance on SCI will be directed through the SSO or CSSO to the responsible COR as indicated on the DD Form 254.

e. SCI furnished in support of this contract remains the property of the Department of Defense (DoD), department, agency, or command originator. Upon completion or cancellation of the contract, SCI furnished will be returned to the direct custody of the supporting SSO, or destroyed IAW instructions outlined by the COR.

f. SCI will be stored and maintained only in properly accredited facilities at the Contractor location.

2. The COR will:

a. Review the SCI product for contract applicability and determine that the product is required by the Contractor to complete Contractual obligations. After the COR has reviewed the SCI product(s) for contract applicability and determined that the product is required by the Contractor to complete obligations, the COR must request release from the originator through the SSO. Originator release authority is required on the product types below:

(1) Documents bearing the control markings of ORCON, PROPIN.

(2) GAMMA controlled documents.

(3) Any NSA/SPECIAL marked product.

(4) All categories as listed in AFMAN 14-403.

b. Prepare or review Contractor SCI billet/access requests to ensure satisfactory justification (need-to-know) and completeness of required information.

c. Approve and coordinate visits by Contractor employees when such visits are conducted as part of the contract effort.

d. Maintain records of all SCI material provided to the Contractor in support of the contract effort. By 15 January (annually), provide the Contractor, for inventory purposes, with a complete list of all documents transferred by contract number, organizational control number, copy number, and document title.

e. Determine dissemination of SCI studies or materials originated or developed by the Contractor.

f. Within 30 days after completion of the contract, provide written disposition instructions for all SCI material furnished to, or generated by, the Contractor with an information copy to the supporting SSO.

g. Review and forward all Contractor requests to process SCI electronically to the accrediting SSO for coordination through appropriate SCI channels.

h. Request for release of intelligence material to a Contractor must be prepared by the COR and submitted to the SSO. This should be accomplished as soon as possible after the contract has been awarded. The request will be prepared and accompanied with a letter explaining the requirement.

DD Form 254 Supplement Attachment 1

DD Form 254 Supplement Attachment 1

RELEASE OF NON-SENSITIVE COMPARTMENTED INFORMATION

(NON-SCI) INTELLIGENCE INFORMATION

TO

US/DoD Contractors DD FORM 254 ATTACHMENT

ATTACHMENT TO DD FORM 254 FOR CONTRACT NUMBER: TBD

CONTRACT EXPIRATION DATE: 30 Sep 2025

1. Requirements for access to non-SCI:

a. All intelligence material released to the Contractor remains the property of the US Government and may be withdrawn at any time. Contractors must maintain accountability for all classified intelligence released into their custody.

b. The Contractor must not reproduce intelligence material without the written permission of the originating agency through the Special Security Office. If permission is granted, each copy shall be controlled in the same manner as the original.

c. The Contractor must not destroy any intelligence material without advance approval or as specified by the COR. (EXCEPTION: Classified waste shall be destroyed as soon as practicable in accordance with the provisions of the Industrial Security Program).

d. The Contractor must restrict access to only those individuals who possess the necessary security clearance and who are actually providing services under the contract with a valid need to know. Further dissemination to other Contractors, sub-Contractors, other government agencies, private individuals or organizations is prohibited unless authorized in writing by the originating agency through the COR.

e. The Contractor must ensure each employee having access to intelligence material is fully aware of the special security requirements for this material and shall maintain records in a manner that will permit the Contractor to furnish, on demand, the names of individuals who have had access to this material in their custody.

f. Intelligence material must not be released to foreign nationals or immigrant aliens whether they are consultants, US Contractors, or employees of the Contractor and regardless of the level of their security clearance, except with advance written permission from the originator. Requests for release to foreign nationals shall be initially forwarded to the COR and shall include:

(1) A copy of the proposed disclosure.

(2) Full justification reflecting the benefits to US interests.

(3) Name, nationality, particulars of clearance, and current access authorization of each proposed foreign national recipient.

g. Upon completion or termination of the classified contract, or sooner when the purpose of the release has been served, the Contractor will return all classified intelligence (furnished or generated) to the source from which received unless retention or other disposition instructions (see Air Force Records Disposition Schedule (RDS) located at https://afrims.amc.af.mil) are authorized in writing by the COR.

h. The Contractor must designate an individual who is working on the contract as custodian. The designated custodian shall be responsible for receipting and accounting for all classified intelligence material received under this contract. This does not mean that the custodian must personally sign for all classified material. The inner wrapper of all classified material dispatched should be marked for the attention of a designated custodian and must not be opened by anyone not working directly on the contract.

i. Within 30 days after the final product is received and accepted by the procuring agency, classified intelligence materials released to or generated by the Contractor, must be returned to the originating agency through the COR unless written instructions authorizing destruction or retention are issued. Requests to retain material shall be directed to the COR for this contract in writing and must clearly indicate the justification for retention and identity of the specific document to be retained.

j. Classification, regrading, or declassification markings of documentation produced by the Contractor shall be consistent with that applied to the information or documentation from which the new document was prepared. If a compilation of information or a complete analysis of a subject appears to require a security classification other than that of the source documentation, the Contractor shall assign the tentative security classification and request instructions from the COR. Pending final determination, the material shall be safeguarded as required for its assigned or proposed classification, whichever is higher, until the classification is changed or otherwise verified.

2. Intelligence material carries special markings. The following is a list of the authorized control markings of intelligence material:

a. “Dissemination and Extraction of Information Controlled by Originator (ORCON).” This marking is used, with a security classification, to enable a continuing knowledge and supervision by the originator of the use made of the information involved. This marking may be used on intelligence which clearly identifies, or would reasonably permit ready identification of an intelligence source or method which is particularly susceptible to countermeasures that would nullify or measurably reduce its effectiveness. This marking may not be used when an item or information will reasonably be protected by use of other markings specified herein, or by the application of the “need-to-know” principle and the safeguarding procedures of the security classification system.

b. “Authorized for Release to (Name of Country(ies)/International Organization.)” The above is abbreviated “REL ________.” This marking must be used when it is necessary to identify classified intelligence material the US government originator has predetermined to be releasable or has been released through established foreign disclosure channels to the indicated country(ies) or organization.

3. The following procedures govern the use of control markings.

a. Any recipient desiring to use intelligence in a manner contrary to restrictions established by the control marking set forth above shall obtain the advance permission of the originating agency through the COR. Such permission applies only to the specific purposes agreed to by the originator and does not automatically apply to all recipients. Originators shall ensure that prompt consideration is given to recipients’ requests in these regards, with particular attention to reviewing and editing, if necessary, sanitized or paraphrased versions to derive a text suitable for release subject to lesser or no control markings.

b. The control marking authorized above shall be shown on the title page, front cover, and other applicable pages of documents, incorporated in the text of electrical communications, shown on graphics, and associated (in full or abbreviated form) with data stored or processed in automatic data processing systems. The control marking also shall be indicated by parenthetical use of the marking abbreviations at the beginning or end of the appropriate portions. If the control marking applies to several or all portions, the document must be marked with a statement to this effect rather than marking each portion individually.

c. The control markings shall be individually assigned at the time of preparation of intelligence products and used in conjunction with security classifications and other marking specified by E.O. 13526 and its implementing security directives such as Intelligence Community Directive 710, and 32 CFR 2001, 2003. The markings shall be carried forward to any new format in which the same information is incorporated including oral and visual presentations.

DD Form 254 Supplement Attachment 2

Attachment # 3

PROTECTING FOR OFFICIAL USE ONLY INFORMATON

1. FOR OFFICIAL USE ONLY INFORMATION:

a. The “Official Use Only” (FOUO) marking is assigned to information at the time of its creation by a DoD User Agency. It is not authorized as a substitute for a security classification marking but is used on official government information that may be withheld from the public under exemptions 2 through 8 of the Freedom of Information Act (FOIA).

b. Use of the above markings does not mean that the information cannot be released to the public, only that it must be reviewed by the Government prior to its release to determine whether a significant and legitimate purpose is served by withholding the information or portions of it.

2. IDENTIFICATION MARKINGS:

a. An unclassified document containing FOUO information will be marked “For Official Use Only” at the bottom of the front cover (if any), on the first page, on each page containing FOUO information, on the back page, and on the outside of the back cover (if any). No portion marking will be shown.

b. Within a classified document, an individual page that contains FOUO and classified information will be marked at the top and bottom with the highest security classification of information appearing on the page. If an individual portion contains FOUO information but no classified information, the portion will be marked, “FOUO”.

c. Any FOUO information released to a Contractor by a DoD User Agency will be marked with the following statement prior to transfer:

This document contains information EXEMPT FROM MANDATORY DISCLOSURE under the FOIA. Exemptions _________ apply.

d. Removal of the FOUO markings can only be accomplished by the originator or by other competent authority. When the FOUO status is terminated, all known holders will be notified to the extent practical.

3. DISSEMINATION: Contractors may disseminate FOUO information to their employees and subcontractors who have a need or the information in connection with a classified contract.

4. STORAGE: During working hours, FOUO information shall be placed in an out-of-sight location if the work area is accessible to persons who do not have a need for the information. During non-working hours, the information shall be stored to preclude unauthorized access. Filing such material with other classified records in unlocked files or desks is adequate when internal building security is provided during non-working hours in open storage areas. When such internal security control is not exercised, locked buildings or rooms will provide adequate after-hours protection, or the material can be stored in locked receptacles such as file cabinets, or bookcases.

5. TRANSMISSION: FOUO information may be sent via first-class mail or parcel post. Bulky shipments may be sent by fourth class mail.

6. DISPOSITION & DISCLOSURE: When no longer needed, FOUO information may be disposed of by tearing each copy into pieces to preclude reconstructing, and placing it in a regular trash container. Unauthorized disclosure of FOUO information does not constitute a security violation but the releasing agency should be informed of any unauthorized disclosure. The unauthorized disclosure of FOUO information protected by the Privacy Act may result in criminal sanctions.

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of

DD FORM 254, MAY 2019

NEEDS DD67

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

OMB No. 0704-0567 OMB approval expires:

20220531 The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

b. REVISED (Supersedes all previous specifications.)

4. IS THIS A FOLLOW-ON CONTRACT?

If yes, complete the following:

Classified material received or generated under

5. IS THIS A FINAL DD FORM 254?

If yes, complete the following:

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

e. NATIONAL INTELLIGENCE INFORMATION:

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

12. PUBLIC RELEASE

Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address. (See instructions)

13. SECURITY GUIDANCE

The security classification guidance for classified information needed for this effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended.

(Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

If Yes, identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

17. CERTIFICATION AND SIGNATURES

Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

9.0.0.2.20120627.2.874785 DD 254, DoD Contract Security Classification Specification whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

List of Attachments [1] (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form) 254 Attachments SCI Addendum (AFM 14-403).docx

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Classification: Unclassified
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a. Facility clearance level. Select one.: 1
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Soli: 16 AF SOL 20200312
DueDate: 2020-08-15
dateA: 2020-03-12
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Location: 16 AF, (Bldg. 2000)

102 Hall Blvd (JBSA-Lackland) San Antonio, Texas 78238 Location: 16 AF, (Bldg. 2012) 248 Kirknewton St. (JBSA-Lackland) San Antonio, Texas 78238 Location: 16 AF, (Bldg. 2019) 321 Hof St. (JBSA-Lackland) San Antonio, Texas 78243 Location: 16 AF, (Bldg. 2072) 491 Peshawar St. (JBSA-Lackland) San Antonio, Texas 78236 Location: 67 Cyber Wing, (Bldg. 2167/2169) 467 Moore St. (JBSA-Lackland) San Antonio, Texas 78236 Location: Cryptologic and Cyber System Division (Bldg. 2028, 2058, 2061, 2081) 230 Hall Blvd. (JBSA-Lackland) San Antonio, Texas 78236 Location: Medina Annex/Chapman Annex (Bldgs. 300,302,307,311,313,315,321,322,326,331 and 390) (JBSA-Lackland) San Antonio, Texas 78236

Block9: Manage and operate custodial service in support of the 16th AF and Mission partners at JBSA Lackland, TX
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Enter your name here.: SEE ATTACHMENT
PublicAuthority: Public release of SCI is not Authorized
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text: - The National Industrial Security Program Operating Manual (NISPOM), dated 28 February 2006, incorporating Change 2, dated 18 May 2016 and its supplements apply to all classified contract performance.

- SEE ATTACHED

text:

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RemoveAttachment:
rep: WEAVER, SANYA

Contracting Officer Representative (COR) rep: ROSS, DERRICK L.

16 AF/A2S Industrial Security/SSO rep: MSgt GRANADA, WILLIAM C. or MSgt WITZ, JOSEPH P.

16 AF/A3 OPSEC Coordinator

Sig:
Enter your name here.: See attached SCI/Non-SCI Release of Intelligence Information for additional security requirements. Prior approval of the contracting activity is required for subcontracting. Access to intelligence information requires special briefings and a final U.S. Government clearance at the appropriate level.
Enter your name here.: 16 AF has exclusive security responsibility for all SCI classified material released to or developed under this contract and held within the contractor's controlled area. DCSA is relieved of security inspection responsibility for all such material but retains responsibility for all non-SCI classified material released to or developed under the contract and held within the contractor controlled area. DIA will be responsible for reviewing all the contractor's controlled area documentation to ensure compliance with SCI directives or regulations.
GCAName: 502 CONS/LGKAA
AAC: FA3047
AAC: FA3047
Address: 502 CONS/JBKAA

1655 Selfridge Ave JBSA Lackland TX 78236 Address: 502 CONS/JBKAA 1655 Selfridge Ave JBSA Lackland TX 78236

POCName: SANYA WEAVER
Phone: 2106716968
Phone: 2106716414
Email: sanya.weaver@us.af.mil
Email: lauren.macias@us.af.mil
Title: Contracting Officer
Enter the date using the format DD-Mon-YYYY:

File details come from the government source that posted it. Updated .